Provider Demographics
NPI:1275990095
Name:GREEN & WHITE MOBILITY CORP.
Entity Type:Organization
Organization Name:GREEN & WHITE MOBILITY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEFFINGWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-645-1640
Mailing Address - Street 1:1907 CHARLES AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-1745
Mailing Address - Country:US
Mailing Address - Phone:651-645-1640
Mailing Address - Fax:651-659-9393
Practice Address - Street 1:1907 CHARLES AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-1745
Practice Address - Country:US
Practice Address - Phone:651-645-1640
Practice Address - Fax:651-659-9393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi